ANAT2020 MARCH 2019 END OF REGION(T1)

SCHOOL OFANATOMICALSCIENCES

ANAT2020:HUMANANATOMYFORMBBCHII,BHSCIl&BSc(BiomedEng) !
END OF REGION TEST 1 25th MARCH 2019

TOTAL: 50 MARKS
TOTAL NUMBEROF QUESTIONS:25

Instructions:
1. Answer all questions.
2. Write your Anatomy number on the MCQ card provided.

3. Multiple Choice Questions (MCQ's) 50MARKS

i) Write your name, the degree for which you are registered, your student
number, and anatomy test number on the "Faculty of Health Sciences" side
of the computer sheet.
i) On the "circles" side of the computer sheet in the block headed "student
number" write your student number. Fill in the circles with a soft HB
pencil.
i) There is one type of MCQ questions in this paper:

X-Type: For this type of question there are ve (5) options each must be
marked as either CORRECT or INCORRECT or LEFT BLANK. For each
question at least one of the options will be correct and one incorrect. You
need to have an answer for each of the ve (5)statements.Thistype of
MCQ has negative marking, that is, marks will be deducted for every wrong
answer provided. However, you will not be penalised for leaving any question
blank, but you will not be credited either.
iV) DO NOT use CORRECTION FLUID on your MCQ sheet. You may use an
eraser with care.
v) DO NOT fold or bend the computer card.
vi) DO NOT write on and/or near the bar coded margin.
vi) The computer sheet MUST be lled in during the examination time. NO
TIME WILL BE ALLOWED after the end of the examination for ing in the
sheet.

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MULTIPLE CHOICE QUESTIONS TOTAL: 50MARKS

Questions below are X-typeMCQS (2Markseach)

MORPHOLOGICAL ANATOMY (30MARKS)
1. Regarding the pectoral region
a. The clavicle ossi es through endochondral ossi cation'
b. The scapula forms a physiological "joint' with the thoracic wall called
thescapulothoracic joint
C. The pectoralis major muscle is innervated by both lateral pectoral and
medialpectoralnerves T
d) The humerusforms part of theshoulder/pectoralgirdle
e. Injury to the long thoracic nerve results in a winged scapula 1

2. The following structures pierce the costocoracoid membrane)

a. Thoracoacromial artery F
b. Medial pectoral nerve
C. Lateralpectoral nerve T v Lcluvipectocl
d. Cephalic veinT fasce.
e. Axillary arterye

3. A fracture of the humerus at the

a. Anatomical neck may result in damage to the musculocutaneous nerve
bRadial groove may result in the condition referred to as 'wrist drop'
C. Surgical neck may result in damage to the axillary nerve T
Medial epicondyle may result in damage to the ulnar nerve
Proximal end may injure the upper subscapular nerve

4. The following muscles çonstitute the rotator cuff of the shoulder joint
a. Latissimusdorsi f
b. Teres minorT
C. Subscapularis T
d. Serratus anterior
e. Deltoid
5. The following arteries participate directly in the scapular anastomoses
a. Dorsal scapulae arteryT
b. Axillary artery
C. Profunda brachii artery
d. Circum ex scapular artery
e. Suprascapular artery

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6. Regarding the female breast

a. The breast is a modi ed sweat gland found in the super cial fascia
b) The 15 to 20 lactiferous ducts unite and open as a single channel at
the summit of the nipple
C) Innervation is by the anterior and lateral branches of 4-6h intercostal
nerves
(d) The pectoral group of lymph nodes drains both the lowerlinferior and
the lateral quadrants of the breast
e. The breast receivesarterial supply from the lateral thoracic artery 7

7. Regarding the brachial plexus

a. It is formed by the anterior rami of C5-C8 and T1 spinal nerves1
b. The cords of the brachial plexus are related to the second part of the
axillary arteryT
c. The axillary nerve exits the axilla together with the posterior circum ex
artery through the quadrangular space F
@Injury of the lower trunk results in Erb-Duchenne palsy
e) The anterior divisions of upper and lower trunks form the lateral cord

8. The following are branches of the brachial artery in the arm

a. Anterior circum ex humeral artery F
b. Profundabrachiiartery T
C. Inferiorulnarcollateralartery f
d. Radial recurrent artery
e. Humeral nutrient artery

9. Regarding the cubital fossa

a. The brachioradialis muscle forms the lateral boundaryT
b. The musculocutaneous nerve is one of the contents
The median nerve lies medial to the brachial artery
The bicipital aponeurosis forms part of the oor E
e) The radial nerve is the most lateral content in the cubital fossa

(10) The following muscles in the forearm are innervated by the posterior
interosseous nerve
a.Supinator muscle
b. Abductor pollicis brevis muscle
c. Medial half of the exor digitorum profundus muscle
d.Extensorindicismuscle t
e Extensor carpi ulnaris muscle

11.Regarding the wrist joint

a. The exor carpi ulnaris muscles adducts the joint1
b. The distal end of the radius articulates with the triquetrum and pisiform
bones
C Thebrachioradialismuscleextendsthe joint
) Theextensorcarpiradialislongusmuscleabductsthejoint
e. The head of the ulna articulates with the proximal row of the carpal
bonesf no aiculut'o
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ANAT 2020 MARCH 2019 END OFREGION(T1)

12. The following structures pass under the exor reticulum in the carpal
tunnel
a. Ulnarnerve P
6) Palmarbranch ofthe mediannerve
c. Median nerveT
(d)Anterior
interosseous
nerve *
e. Tendon of exXorpollicis longus muscle

13. Regarding the hand

a) The thenar and mid palmar spaces communicatewith the anterior
forearm compartment
(b) Adduction of the thumb is carried out by the rst (1s) dorsal
interosseousmuscle
C) The adductor pollicis muscle is innervated by the median nerve F
d. The palmar interossei muscles adduct the 2nd, 4h, and 5h digits
towards the central axis (3rd) digit
e. All the lumbrical muscles are innervated by the median nerve

14. Regarding the cutaneous innervation of the upper limb

a. The palmar surface of the lateral 3% ngers is innervated by the radial
nerveT!.
b.) The super cial branch of the radial nerve innervates the skin on the
dorsal side of the distal phalanx of the index nger
The medial aspect of the am is innervated by the medial brachial
cutaneous nerve
d The skin over the deltoid muscle isinnervated by the branch of the
axillary nerve
The musculocutaneous nerve supply the skin on the medial aspect of
the forearm

15. Regarding the joints of the upper limb

a. The shoulder joint is a ball and socket synovial joint
b. The elbow joint is considered a weak joint with a wide range of
movement F
C. Stability of the shoulder joint is weakest inferiorly1
d. The interphalangeal joints permit adduction movements
e. Supination movement between the proximal and distal radioulnar joints
is enhanced by the biceps brachi muscle

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HISTOLOGY AND EMBRYOLOGY (20MARKS)

16. With regard to epithelium:

a. Ependymal cells in the choroid plexus are classi ed as simple cuboidal
cells T
b. Columnar cells in the tracheal epithelium have microvilliP
c. The epidermis of skin is classi ed as strati ed squamous
non-keratinizedepithelium"
d. Epithelioid tissue has no free surface 1
e. It receives blood supply from the underlying connective tissueT

17. With regard to the location of epithelia:

a. Simple squamous epithelium lines the inner layer of blood vessels1
b. Pseudostrati ed ciliated columnar epithelium with goblet cells is found
in the jejunum
C. The ducts of eccrine sweat glands are lined bya strati ed cuboidal
epitheliumT
d. The uppermost (top) layer of the oesophageal epithelium is anucleated
e. Umbrella cells are typically found in the relaxed state of the urinary
bladder

18. With regard to the function of epithelia:

a. Myoepithelial cells have a contractile function
) Strati edsquamouskeratinisedepitheliumhasasecretoryfunction
The epithelium in the trachea has a sensory function
d. Simple columnar epithelium in the colon has an absorptive functionT
e. Olfactory epithelium in the nasal cavity has a sensory/receptor function

19. With regard to glands:

a. Endocrine glands release their secretion into the lumen of a blood
vessel
b. Theyoriginatefrommesenchyme eprhei
C. Compound glands have branched ducts
d. Simple glands in the colon have an alveolar secretory end-piece
e. Serous secretory end pieces stain pale with H & E pin

20. With regard to the nature of glandular secretion:

a. Sebaceous glands secrete mucus F
Serous secretory end-pieces have zymogen granules at the apical part
ofthecell T
C. The nucleus in the cells of mucous secretory end-pieces is round {\0v
d. Eccrine sweat glands secrete watery secretions containing urea and
salts T
e. Apocrine sweat glands secrete pheromones

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21. Dense regular connective tissue:

a. Contains a higher proportion of ground substance than loose
connectivetissueF
b. Allows formultidirectionaltransmission of force F
c. Has broblasts as the dominant cell typeT
d. Forms tendons
e.Underlies
epithelium f
22. With regard to connective tissue:
a,Collagen breshavehightensilestrength 1
bElastic bres provide a framework for organs
s Elastic bres are interwoven with collagen bres to limit stretch
@It isavascular
e. The extracellular matrix regulates metabolic function

23. With regard to intra-embryonic mesoderm:

a. It is formed during the third week of developmeņt 7
b. It is derived from the hypoblast laver epblust
c. It is formed during gastrulation
GOnce formed it will differentiate into the neural tube ?
(e)lts adult derivatives include the dermis of skin

24. During the second week of embryonic development:

a. A bilaminar embryonic disc is formed
b. The extra-embryonic mesoderm is formed
c. Primitive streak formation occurs
d. Notochord formation occurs
(e) The amniotic cavity is formed 7

25.The main results of fertilization are:

a. Initiation of cleavage
b. Formation of the neural tube
G. Determination of a sex of an individual
Restoration of the diploidnumber ofchromosomes T
Le. Formation of a blastocyst cavity

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